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HomeMy WebLinkAbout22949-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCUumANOY No Z-23831 Date AUGUST 24, 1995 THIS CERTIFIES that the buildin~ ADDITION Location of Property 560 LITTLE NECK ROAD CUTCHO~UE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 07 Lot 26.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DULY 31, 1995 .pursuant to which Building Permit No. 22949-Z dated AUGUST 17, 1995 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to STEVEN & VIRGINIA MARQUARDT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED H-043217 - NOVEMBER 2, 1994 N/a /d~ng Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ................................................... 22949 Z Permission Is hereby granted to: ~..~..¢.....~ ....... ~..~.~. ...... ., ..... .~ .¢.._...~,~.~.....~.~......~"i ....... to....,...~?~:~..~. ........... ~ .......... ~......,~..../..,.z..,.. ............... ~ ............................... ...m..,..>...~ ~,..../.~. ~.z.../.,.~. ~..:.. ......... ~. ~.....~: ..//~.. ....... D~r....../. ....... ., ..................................................................................................................... pursuant to application dated .................................. 19 .......... Building ~nspeotof. Fee*...2.:..'.'~ .... and approved by the Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-[802 A?PLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-? form). 3. Approval of electrical installstion from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate-of Code Compliance from architect or engineer. responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 'B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writiug to the applicant. C. Fees i. Certificate of Occupancy - New d~etling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ guildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentia~$15.00-, Commercial $i5.00 New Construction ........... Old Or ~r~-exis~i~ Building ......... .~ ..... ............ ~ount~ Tax Map No i000 Section ..... .~..6 ..... BIuck ....... ,~. ....... Lot..~.~..'~. Subdivision,)~ ...............................~/~ .... Filed Msp ............ Lot ...................... .... .... ............................. ~le~lth Oept, Approval .......................... Ouderwrtzers Api:roval ......................... 'lannimg~ Board Approvul ........................ / :{equest for: Temporary Certificate ........... Final Certicate ........... THE NEW YORK BO'ARD OF FIRE UNDERWRITERS PAGE' 8e50659 BUREAU OF ELECTRICITY ~' 85 JOHN STREET. NEW YORK, NEW YORK 10038 Dele · ~ NOVEMBER 02,1994 . Apptica~io, Mo. o,I'e ~6587794/94 H G43217 THIS CE~IFIES THAT o~ the e~tr~l ~ipmen~ ~ ~eri~ be~W ~ int~uc~ hy 't~ oppllcant ~d on ~he 0~ application STS~ ~QU~T, 56~ LITT~ ~CK ~. , CUTCH~, N.Y.~ ~ ~se~omlnedon ,' ~'OCTOB~R 27,~994 andfoun~tobe~nc~mpHah~ewiththeNaMohMElev~H~aICode. FIXTURE FIXTURES DISH WASHERS EXHAUST DRYERS OTHER APPAR~US: L~ *NO VISUAL D~CTS, "~ electrical Survey hasbeen made of the exposed electrical equipment in the , ............ obvious Dremises indicated." "No ' -tnlsati~f.actOry ~condition was fo~mdl 560 ~ITTL~ NECK ROAD CU?CHOGUE, NY, 11935. ~DE PAID 't., AMOUNT JFSEASE R~IT BY CHECK OR MONiY ~ORDER TO THE ORDER OF THE NEW IYORK BOARD Of ERE UNDERWmTERS 1AS CASH SENT BY MAIL WiLL BEAT NRISK OF SENDER, THIS IS YOUR RILL FOR SERVICE RENDERED AND IS NOT A CERTIFICATE OF COMPLIANCE. THIS BIU. PAYABLE A~!THE NEW YORK OmCe, RS~JOHN STREET NE~. ~)i~i H. Y. ~ 0038 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]FRAMING [ ] INS_ULATION [ P~FINAL [ ] FIREPLACE & CHIMNEY JUL I 419~g$ " JUL I 4 I~5 ,JUL FOI1M NO. 1 OWN OF SOU 11101.D 13UII. I)ING DFPAR'IMENT ]OWN IIAI_L SOU]'I IOI_D, N.Y, SETS OF I'LAHS SURVEY CIIECI .......... t ......... SEI'T[C FOIHI ............. C^LI .............. }iAI. 1, 'to: (l~ihling InspecloQ APPLICATION FOIl I~UII. DINq PEI1MII' 1NSTI~,UCTIONS a. This apl;lie;dion must be compleloly filled In by lypewriler o~ in ink ami submillecl 1o Ihe Ihfilcling Inspecloh wilh .solsofl~hms, nccuHdel)lolplan Ioscate, Fee lmco~'ding lo schedule. b. Plot phm showing Ipcdion of Io[ nnd of buildhws on premises, tdalionship Io adjoining Inemisos o~ public et moas, and 8iving a (Idltiled descHplion of layoul of l)iopeHy mum 1)e chawn on Iho diaglam which is imll of lids calion. e. The work cove~ed by lids applicalion may riel b~ commenced be[mo issuance of lJuihling Permil. d. Upon aplnovalofWisapplicdion, lheBuildin81nslmclm willi~suedalluildingPemfillollmapplicanl. ~uch shall bo kepi on lira promises available [or inspeclion Ihmughoul lira wink. ~. No buildin8 shall Im occupied or used in whew o~ in pml lot any lm[Pos~ whaleve~ unlil ~ CeHificalo of slmll have been glanled by Iho lhfilding Insp~clor. AI'I'I,ICA'I'ION IS Ill~REIIY MADE Io lira I/uilding l)epa~lmenl [or Ihe issuance o[ a Building P~rmil puismml Io Ih ('-t,' o~s, [o the mmsl. ' clon ofbuilding.,,s mhlilions or allemlions', m fo~ ~emoval ~ '(lenlolilion, as he]em~' descld' lie lc, I ,gees 1o c) )ly w II II ~lc bio tnws, o d n, nees, buhlng code, ms B cote, ( e8 o s, (SiBn~t~ name, if (Mailing address o[ applicant) (Iqamo and lille o£ corpmalo of lie:el) Iluihlo~'s I.ic~nse No .......................... Iqmnbm's I.ic¢nso No ......................... FJech ician's l,icenso NO ....................... OIher 'l'lmle's I.ice,so No ...................... ShHe whelher al)l)li(mnl is owner, tosseD, ~wenl, mddlecl, engineer, generaJ conhaclor, elcchician, i)lumbe, o, Imihle ....... 0 ....................................... ................. ................... ~ , , C'~,r'~' ~ ~: (as on lho lax mil or lalesl deed) . APBR0 NoTIFy BUILDING DEpARTmENT ~T 76E-~80~ e AM TO 4 PM FO~ THE FO~LO~N~ INSPE~ONS; ~.FOUNDATION - ~0 FO~ POUflED CONC~ETE 2. flOU~H - FflAMIN~ · PLUMBIN~ 8. INSU~TION 4. FINAL - CONSTRUCTION MUST ' BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. I. I.omHhm of land on which i)ml)osed wink will be done ................ STAT'E' .OONSTRtjCTION ,&. ENERGY ..... J ~ , ,: OESIGN. 0B. ~O~STRUC~ION. ERRORS. Ih)usc Number Shoot Ilamlet Filed Map No. Lol Subdivision , . ...... . ......................................................... ~hlie exislinL1 u.se llll(J oecul)ancy o[ pleliiJses lille intended risc all(I OCCttl)813cy O[ l)[OpOSe(J coitshuclJon: I~Cl)ah .............. I/eJU~Vai .............. l.)e ut'dliliou , , .... : ......... Olher ~?lk ,I, I~s(ima(ml Cost ~ ~--. (I)escHpiioa) 5, ' (to be paid on ~lin~ this applicalion) l~dwelling, mlmbero~dwellhg~is ..... ] ,. ~ i~)croF~we/fin . ~ ...... . II'lUu'age, ntuubero[c rs '. ............. yh floor ................ Dimensions ol'exisllng sh-uchlrels if y' ; o I .... ~ ...... Ilea Dcplh I leight ............... Nt.l?)m. ors or es ,.. [ .... ' , ...................... l)imensions of ah]lie sh'ucfu(a wHh altmalions or additions: Front ...................... I)cl)lh .................... ~,, Ileight .................. Rear .................. ,,' ........ :. Jqumbero[Stmies ........... ~ .......... 8. Dimensionsofenlhenewcois ~lclton, Fronl .............. ; Rear . ............... Depth ............... Docs i)ml)osed COllsh'uclJoll violate ally Zollhlg Jaw, Ol'dJllallce or regulaliorl: ,: , ................... Will excess litl be ~e (vcd fr(m ~ ' ', Namer)lOw e'o~ ~re see ' * lremlses, 5es Ho Name of A.;llilect .......... i* , , Address ................... Ph(me Iqo ................ J~; IItLa prol)art, y w,l~hln ~ ..... ' ................ ItOlle Nt) ................ O0 [eel: of a tidal wetland? aYes , Ho . · It' yea, Soul:hold 'lroml Trustees Permll: may i)e required, ' .... Locale cleally and distlnclly all ptoilelly lilies. (lIve s eec atlt block hlledol ol co[ncr lei, I'I:OT I)IAGRAM bttil(lin§s, wJmlher exJslhHl or proi)(~sod' mid, Jlx(licale all sold)ack (linlensious fl'orr! DAIIll)Of OF (lesclii)lioti accotdiliB h) deed, all(I show slicer liallles and indicale whelJtel COUNT'/ OF ......... ' .... (Name of individual sigul~B co~llracl) {Collh'acJof agelll, COl"llOl'llte oJ' ice' elc.) ....... ()J' saJtJ ownei or owners, and is dulg a.lholJzed Lo J)IH~OIIB O[ have per(olmetl Ihe said wozk and Io nlake ami I'ilc Ibis apl)licalJon; Ihat all slalelnents conhHned lJI Ibis appJicalion are Irue lO lite best of his knowledge and belier; and thai Ihe . work will be i)e~iormed in Ihe mannerjsel fmlh in the application filed therewilh. SwoJn Io be[me ux~lhis , Nota~ Publio, State of N~w Yom , . Oualifi~ in Suffolk COUn~ ~ ~ / ' (~ah~ apl)liclml) Commission Expires May 2~, 19 / ~ °VACANT" (~o.o) /El4 06 $7 1~ /40.00' '9 JUL I DATUM A$$UMFD I o~ ~00 F~ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE HS REF NO __ APPROVED "THE CO,~MON$ lIND O;~EN SPACI~" D~PO.~AL ~ T~l~ WILL CONFORM TO THE STAND- ADDRESS ARD$ OF THE SUFFOLK COUNTY D~P~, OF H~ALTH SERVICES TELEPHONE GUARANTffKO ONLY TO $OU7'NOLD ~AVIN~ ~NK D E TRANCHON JR. N.Y. tIC. NO, 048992 PENN. LIC. NO. 21115- E JOl~ NO, 7'7-6,,qq VILE NOL/TT/_gNZ"CW / P,,~OPF~T/ES SURVEYED FOR: STEII~-Ntq F'I.~G/NIA A, MA~o~UAt?DT LOT NO. 4 MAP OF Z/TTL£ /V£CK PROPFRTI£5 SITUATED AT TOWN OF ,gOUTHOLD - 3UFFOZK COUNT~ SCALE 1'" = 50' DATE FILED MAP NO, 604~ DAT~ /I-BO'/~/7~ 1:500 K NO. PAGE HAROLD E TRANCHON JR. PC, LAND SURVEYOR SUCCESSOR TO WILLIAM G. MEIER NORTH COUNTRY ROAD- WADING RIVER · , NEW YORK 11792 (516) g2g-4Gg5 ALT. 473-3626